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Optimising Care: Quality Improvement for Sustainable Practices in the Paediatric ADHD Clinic in Wrexham Maelor Hospital

Published online by Cambridge University Press:  01 August 2024

Catherine Cunning ,
Mostafa Abdellatif  and
Qamar Jabeen
Catherine Cunning
Affiliation:
Betsi Cadwaladr University Health Board, Wrexham, United Kingdom
Mostafa Abdellatif*
Affiliation:
Betsi Cadwaladr University Health Board, Wrexham, United Kingdom
Qamar Jabeen
Affiliation:
Betsi Cadwaladr University Health Board, Wrexham, United Kingdom
*
*Presenting author.
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Abstract

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Aims

To make a case for E-prescribing within the Paediatric Neurodevelopmental Team in Wrexham Maelor Hospital.

To trial a different way of approaching 6 monthly reviews within the ADHD clinic (option for remote reviews).

To show how we could reduce the carbon footprint of the ADHD clinic.

Methods

Process mapping was completed to consider areas in the ADHD prescribing process that could be made more sustainable.

For each patient appointment in the ADHD clinic a questionnaire was completed. The data collection period was over 3 weeks during August and September 2023. Data was collected and interpreted.

Results

99 appointments were offered, 82 appointments attended. 77 appointments were face-to-face and 22 were via telephone. Of the face-to-face appointments, 54 families travelled in by car and 4 used public transport (2 taxis). Of those who commented 31 people found it hard to find parking by the clinic, 13 people did not.

Of the appointments attended face to face via car/taxi (57):

  • • Average of 4.4 miles travel to the clinic (8.8 miles total journey)

  • • Shortest journey 1.1 miles (2.2 miles total journey)

  • • Longest journey 16 miles (32 miles total journey)

  • • Total patient mileage for these appointments (assuming travel to and from clinic) 855.8 miles

Carbon emissions from the ADHD Clinic:

  • • Average journey 0.005t CO2

  • • Total journeys 0.472t CO2

  • • Assuming average sized petrol car used

  • • Extrapolating this data for a whole year approximately: 8.024t CO2 from patient journeys to and from the ADHD clinic

For context the average amount of CO2 generated by a single person in the EU is 7.2t.

Conclusion

We have made a case for e-prescribing within the ADHD clinic in Wrexham Maelor Hospital.

The current system impacts on:

  • • Patient and carer's travel time and convenience.

  • • Clinician's travel time.

  • • Carbon emissions.

Alternative processes have the potential to streamline this process making it more sustainable socially, clinically and environmentally.

Type
3 Quality Improvement
Information
BJPsych Open , Volume 10 , Supplement S1: Abstracts from the RCPsych International Congress 2024, 17–20 June , June 2024 , pp. S122
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © The Author(s), 2024. Published by Cambridge University Press on behalf of Royal College of Psychiatrists

Footnotes

Abstracts were reviewed by the RCPsych Academic Faculty rather than by the standard BJPsych Open peer review process and should not be quoted as peer-reviewed by BJPsych Open in any subsequent publication.

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